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Home My WebLink About1353 SHOREBIRD LN; ; CB153540; Permit10-20-2015 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: ASI HASTINGS STE 200 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB 153540 Building Inspection Request Line (760) 602-2725 1353 SHOREBIRD LN CBAD PME 2157911900 Lot#: 0 STANLEY: REPLACE 2 AC & 2 COIL Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 10/20/2015 JMA 10/20/2015 10/20/2015 STANLEY CARLA S LIVING TRUST 04-13-07 4870 VIEWRIDGE AV SAN DIEGO CA 92123 619-590-9300 1353 SHOREBIRD LN CARLSBAD CA 92011 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Total Fees: $163.00 Total Payments To Date: Inspector: ~ $0.00 $0.00 $163.00 $0.00 $163.00 $163.00 Balance Due: Clearance: $0.00 t,OTICE Aease ta<e l\OllCE Iha wova ct 'fOI prtject irdudes tt-e "lrrpa,itiori' ct fees, decicaicrs, reservaticrs, or ctl-a" exa::ticrs hratter oolEdivay referred to as "f-exa::ticrs" You rave 00 days frm1 tre date ths pemit ""5 iss..ed to pn:test irrpa,ition ct trese-exa::ticrs. If you pretest trem you nu;t fcilootre pretest l)1)03(l.res set forth in GcNerrmrt Code Section 60020(a), ard file tre pn:test ard any cti-.r req.ired inforrraion wth treaty M.-agerfcr i,uc:essrg i1, axoda rewth a.tsboo M.ridpa Code Section 3.32.03'.J. Falueto tirrayfdloothat ~wll bet' anysctseq..e,t lega action toattoo<, n:Me.v, set aside, vcid, cr EITl.J their in,:x:sitioo. You ,re rereby FlRTl-ER t,OTIFIED th'lt 'fOI rig! to pn:test tre SfBified f-exa::ticrs CCES NOf M'PL Y tov.at« ard ,,,,_ oonnEdion feas ard ~ d'lcrges, rcr plcnirg, zcrirg, ga:irg or ether sinila-~iecti01 p-o:::essirg cr service fees in a:rra:iio1 \A.4th tlis ptjed. I'm IXES IT .Am... Y to cl'f/ fees' \r\h hcM:l ·rus1 CEsinilcrto ·s v.Ji he dlini i ·se THE..fOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMAT/APCD ~-Building Permit Application Plan Check No.('µ,)'(". -~S"t./,Q << .-,:· 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value !.: ~ CITY OF Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit CARLSBAD email: building@carlsbadca.gov . www.carlsbadca.gov Date 10-?n ·IS iswPPP JOB ADDRESS SUfTE#/SPACE#/UNIT# rPN 1353 SHOREBIRD LN --- CT/PROJECT# I LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME rONSTR. TYPE I occ. ~ROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) CHANGE OUT (2) AC, AND (2) COIL EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS v,so, N,0 vesONoO vesONoO APPLICANT NAME JERMAINE MAEWEATHER PROPERTY OWNER NAME CARLA STANLEY '-~ "· - ADDRESS ADDRESS 4540 KEARNY VILLA RD #213 1353 SHOREBIRD LN CITY STATE ZIP CITY STATE ZIP san dieao ca 92123 CARLSBAD CA 92011 PHONE I FAX PHONE IFAX 619-590-9337 6198579844 EMAIL EMAIL JERMAINE@WEGREENINC.COM DESIGN PROFESSIONAL CONTRACTOR BUS. NAME asi hastinas ADDRESS ADDRESS 4870 viewridge ave CITY STATE ZIP CITY STATE ZIP san dieao ca 92131 PHONE IFAX PHONE IFAX 619-590-9337 EMAIL EMAIL I STATE LIC. # STATE UC.# I CL.ASS I CITY BUS. LIC 1200804 513115 c20 (Sec. 7031.5 Business and Professions Code. Any City or County whtch requires a permit to.construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a s1.E(ned statement that he Is licensed pursuant to the provIsIons of the Contractor's License LawJChapter 9, commending with Section 7000 of 0IvIsIon 3 of the B_usmess and Professions Code) or that he is exemr;it therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subiects the applicant to a civil penalty of not more than five hundred dollars {$5001). WORKERS' COMPENSATION Wor11.ers' Compensation Declaratlon: / hereby aftlml under penalty of perjury one oft/le fol/owing declarations: D I have and will maintain a certificate of con1tnt to self-insure for workers' compensation as provided by Sectkm 3700 of the Labor Code, for the performance of the work for whleh this pennlt Is Issued. [Z] I have and will maintain wor1ler1' compensation, as required by Section 3700 of lhe Labor Code, for the perfonnance of the work tor which this pennit Is Issued. My workers' compensatloo Insurance earner and policy number are: Insurance Co. CYPRESS INSURANCE COMPANY Polley No. ASWC605204 Expiration Date 911/2016 'O!§.section need oot be completed If the permit Is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the perfonnance of the work for which this pennlt is Issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of Callfomla. WARNING: Fallura to secure wor11.ers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages asp ded for I11Sectlon 3706 of the Labor code, interest and attorney's fees. _,6$ CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's License Law for the following reason· □ □ □ I, as owner of the property or my emplOyees with wages as their sole compensation, will do the 'Mlrk and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property 'M'lo bullds or Improves thereon, and who does such work himself or through his own employees, provided that st£h Improvements are not Intended or offered for sale. If, however, the bulldlng or Improvement is sold within one year of compleHon, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who bollds or Improves thereon, and contracts for such projects with contractor(s) llcensed pursuant to the Contractor's License Law). I am exempt under Section ____ ,Business and ProfesslOns Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property Improvement. 0Yes Oo 2. l (have I have not) signed an application for a building penl'llt for the proposed work 3. I have contracted with the following person (finn) to provide the proposed construction (Include name address I phone/ contractors' license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supe,vise and provide the major 'M'.lrk (Include name I address I phone I contractors' license number)· 5. I will provide some of the work, but! have contracted (hired) the following persons to provide the work Indicated (inctude name I address I phone I type of work): ,.S PROPERTY OWNER SIGNATURE /~ □AGENT DATE I I I ! COMPLETE THIS SECTION FOR NON-RESIDENTIA~ BUILDING PERMITS ONLY Is the applicant or future building occupant req!Ared to submit a business plan, acutely hazcftlous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-TaMer Hazardous Substance Account Act? □ Yes D No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management dislrict? □ Yes □ No Is the fa:Hlty to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes D No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT. .CONSTRUCTION LENDING AGENCY I hereby affirm that there 1s a construction tendmg agency for the performance of the work this permit 1s issued (Sec 3097 (1) CIVIi Code) Lender's Name Lender's Address APPLICANT CERTIFICATION I celtlfythat I have readtne appllcalion and state that the above infonnatlon Is correct and that the information on the plans Is accurate. I agieeto comply with all City ordinances and State laws relating to blildng construction. I hereby aulhcme iei:resentalt-le of 1he City of Carlsbad benilf upon the above mentioned property for inspEdioo p.,rposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN AfN WAY ACCRUE AGAINST SAIO CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: AA OSHA pennlt Is requiled for excavations over 5'0' deep and de100Utbn or construcfon of structures OYer 3 slOries ll hei;lhL EXPIRATION: EY81)' permit Issued by the Buiklirg Offaal under the prow;ons of this Code shall expre by Hmitatbn and becoroo nun and -..00 ~ the buiklirg or wor\l authorized by st.dl permit is not oommenced wlthrl 100 days from the date of st.dl permit or~ the buikli'lg or work authorized by such permit is sus~ncloo or abal'OOled at anytime after the work is oommenced for a peri:xl of 100days (Sectictl 100.4.4 Uniform Buikling Code). ...S APPLICANT'S SIGNATURE ~ DATE Inspection List Permit#: CB153540 Type: PME Date Inspection Item .. 03/11/2016 43 AirCond/Furnace Set 03/11/2016 43 AirCond/Furnace Set 03/11/2016 49 Final Mechanical 03/11/2016 49 Final Mechanical Monday, March 14, 2016 Inspector Act AEK AEK RI AP RI Fl STANLEY: REPLACE 2 AC & 2 COIL Comments Page 1 of 1